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Finance, Revenue Cycle

EXCLUSIVE: NAACOS President Foresees “Shrinkage in Accountable Care Movement” Pending MSSP Final Rule

December 5, 2018  |  Rajiv Leventhal, Managing Editor
article
Clif Gaus, NAACOS president and CEO, speaks out on a few key problems that his organization, and others, have with CMS’ proposed changes to the MSSP.

Survey: Healthcare Organizations Skeptical of athenahealth, Virence Merger

December 3, 2018  |  Heather Landi, Associate Editor
news
Healthcare organization leaders are expressing some initial skepticism about the merger of athenahealth with Virence Health Technologies, as a result of Veritas Capital and Elliott Management’s recent acquisition of athenahealth.

Survey: Providers Remain Challenged with Optimizing Revenue Cycle-Related EHR Functions

November 29, 2018  |  Rajiv Leventhal, Managing Editor
news
Healthcare providers continue to focus on technology to spearhead revenue cycle improvements, but remain challenged with optimizing electronic health record (EHR) functionality, according to new research

CVS Health Completes $69B Acquisition of Aetna

November 28, 2018  |  Rajiv Leventhal, Managing Editor
news
A little more than a month after the Department of Justice (DOJ) approved a $69 billion merger between mega-pharmacy retailer CVS Health and health insurer Aetna, the acquisition has officially been completed.

New Blockchain Project Sets to Tackle Provider Credentialing

November 12, 2018  |  Rajiv Leventhal, Managing Editor
news
A group of five healthcare enterprises are linking up to participate in a distributed ledger program aimed at resolving administrative inefficiencies related to professional credentialing.

Survey: More Than Half of Healthcare CIOs Lack Strong Trust in Their Data

November 9, 2018  |  Heather Landi, Associate Editor
news
For U.S. healthcare leaders, trusted data is more important than ever, as their organizations migrate from the fee-for-service model to value-based care. However, a recent survey of CIOs found that less than half of healthcare organizations show very strong...

The Key to Clinical and Financial Success? Atrius Health President Gives Out His Recipe

November 8, 2018  |  Rajiv Leventhal, Managing Editor
article
Atrius Health’s president and CEO, Steven Strongwater, M.D., discusses the organization’s population health initiatives that have led to strong clinical and financial performances.

Seven Best Practices for Optimizing EHRs Clinically and Financially

November 7, 2018  |  Dan O’Connor and Joncé Smith, Industry Voices, Stoltenberg Consulting, Inc.
article
Healthcare facilities struggle with knowing if they are using their EHRs to the full potential. There are ways to alleviate the confusion and optimize your EHR for combined clinical decision making and operational effectiveness.

Report: Complex and Rapidly Changing Payment Models Challenge Physician Practices

October 26, 2018  |  Heather Landi, Associate Editor
news
Physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change, according to a...

MUSC Telehealth Leaders Share Their Roadmap to Success

October 17, 2018  |  Heather Landi, Associate Editor
article
Three key telehealth leaders at the Medical University of South Carolina share lessons learned in building a robust program of telehealth services to serve patients across the state.

Healthcare Groups to CMS: ACOs Need More Time in One-Sided Risk Models

October 17, 2018  |  Rajiv Leventhal, Managing Editor
article
Healthcare associations have written to CMS, urging the agency to reconsider its proposed regulation that would push ACOs more quickly into two-sided risk models.

On the Road to Risk, Summit Medical Group is Driving in the Fast Lane

October 2, 2018  |  Rajiv Leventhal, Managing Editor
article
In a recent interview with Healthcare Informatics, Jeffrey Le Benger, M.D., outlined the progress and evolution of his organization and how it’s continuing to plunge ahead into the world of risk and value-based care.

Survey: EHRs, Value-Based Care Causing Docs to Sour on Profession

October 1, 2018  |  Rajiv Leventhal, Managing Editor
news
Seven out of 10 physicians are unwilling to recommend their chosen profession to their children or other family members, with frustrations over EHRs and value-based care ranking as key reasons why.

What to Expect Next from CMS Regarding the Proposed ACO Rule

October 1, 2018  |  Lynn Barr, Industry Voice, CEO and Founder, Caravan Health
article
In the accountable care community, we’re all anticipating the potential impacts of the recently proposed Medicare Shared Savings Program (MSSP) ACO (accountable care organization) rule.

How Blockchain Technology Can Revolutionize Healthcare

September 26, 2018  |  David Hanekom, M.D., and Pradeep Goel, Industry Voices
article
How do providers get better access to patients, deliver the best possible care, and get paid for their services in an accurate and timely fashion? The answer could be found in blockchain.

NAACOS, AMA, Others Urge CMS to Reconsider MSSP Proposed Changes

September 21, 2018  |  Rajiv Leventhal, Managing Editor
news
NAACOS and eight other healthcare stakeholder groups have sent a letter to CMS, expressing concerns about the federal agency’s proposed changes to the Medicare Shared Savings Program.

On Capitol Hill, Healthcare Leaders Raise Concerns with CMS’ Proposed ACO Rule

September 17, 2018  |  Heather Landi, Associate Editor
article
During a House subcommittee hearing, healthcare leaders voiced concerns that CMS' proposed changes to the MSSP ACO program will impede progress in the transition to value-based care.

Leading ACO Group: CMS is Calculating ACO Savings the Wrong Way

September 11, 2018  |  Rajiv Leventhal, Managing Editor
article
The Medicare Shared Savings Program generated gross savings of $1.84 billion for Medicare from 2013 to 2015, nearly double the $954 million estimated by CMS, according to a new analysis.

Report: Elliott Leads in athenahealth Takeover Bid as Cerner, UnitedHealth Pass

September 7, 2018  |  Rajiv Leventhal, Managing Editor
news
Elliott Management is the favorite to win the athenahealth takeover bid now that Cerner and UnitedHealth have declined an opportunity to acquire the health IT company, according to a report.

In the Emerging World of Risk-Based Contracting, Data Analytics Is a Foundational Necessity

September 7, 2018  |  Mark Hagland, Editor-in-Chief
article
With the emergence of more risk-based contracting, including two-sided risk, data analytics has now become fundamental to patient care organizations’ operational and financial success.

Top Ten Tech Trends 2018: Markets and Medicine—Where Do Physicians Land, in the Emerging World of U.S. Healthcare?

September 5, 2018  |  Mark Hagland, Editor-in-Chief
article
Even as the purchasers and payers of healthcare push hard on physicians to embrace value-based care delivery and payment, doctors remain conflicted and ambivalent about the new healthcare.

Is it Fair to Question CMS’ Agenda for Releasing ACO Results?

September 4, 2018  |  Rajiv Leventhal, Managing Editor
commentary
There is much debate on how one-sided risk ACOs are performing as new CMS data has been released

Top Ten Tech Trends 2018: Are the Lines Between Provider and Payer Organizations Beginning to Blur? To Some, That Would be Progress

September 4, 2018  |  Mark Hagland, Editor-in-Chief
article
As physician-based and hospital-based organizations plunge further into risk-based contracting, managing the contracts and the processes is turning out to be highly challenging for everyone.

MSSP 2017 ACO Results Touted by NAACOS, Mostashari

August 30, 2018  |  Rajiv Leventhal, Managing Editor
news
The Centers for Medicare & Medicaid Services (CMS) today released results for how the 472 Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) performed in 2017.

PODCAST: Dr. Rita Numerof on CMS’ New ACO Proposals: “It’s Been a Long Time Coming”

August 23, 2018  |  Rajiv Leventhal, Managing Editor
article
A prominent healthcare consultant weighs in on a new regulation that could shake up the ACO landscape.

Execs Gearing Up for Blockchain Investments, Report Finds

August 22, 2018  |  Rajiv Leventhal
news
A cross-industry survey on blockchain of some 1,000 business leaders, conducted by Deloitte, found that most global executives see great value in blockchain’s potential to reinvent processes across the business value chain,.

CMS’ MSSP Proposed Changes Slammed by Leading ACO Organization

August 10, 2018  |  Rajiv Leventhal
article
The National Association of ACOs called CMS’ proposals to redo the MSSP “misguided,” noting that the changes, if finalized, “will upend the ACO movement by creating havoc with a significant overhaul introducing many untested and troubling policies.”

BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program

August 9, 2018  |  Rajiv Leventhal and Heather Landi
article
The Centers for Medicare & Medicaid Services (CMS) is proposing a new direction for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP), with the goal to push these organizations into two-sided risk models.

Dr. David Nash on Population Health: Physicians Don’t Grasp It

August 6, 2018  |  Rajiv Leventhal
article
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, discusses the population health landscape with Healthcare Informatics

In Virginia, Centra Health Surges Ahead in its IT-Based Push to Value

July 25, 2018  |  Rajiv Leventhal
article
Two of the health system’s executive leaders recently spoke with Healthcare Informatics about Centra Health’s value-based care journey and how IT is playing a key role.

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